[1]康振峻,宋治远,姚青,等.经导管封堵治疗成人巨大房间隔缺损的临床疗效及其安全性[J].陆军军医大学学报(原第三军医大学学报),2011,33(08):838-840.
 Kang Zhenjun,Song Zhiyuan,Yao Qing,et al.Evaluation of clinical effect and safety of transcatheter closure on adult large atrial septal defect[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(08):838-840.
点击复制

经导管封堵治疗成人巨大房间隔缺损的临床疗效及其安全性(/HTML )
分享到:

陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
33卷
期数:
2011年第08期
页码:
838-840
栏目:
论著
出版日期:
2011-04-30

文章信息/Info

Title:
Evaluation of clinical effect and safety of transcatheter closure on adult large atrial septal defect
作者:
康振峻宋治远姚青仝识非李永华李华康张志辉
第三军医大学西南医院心血管内科,重庆市介入心脏病学研究所
Author(s):
Kang Zhenjun Song Zhiyuan Yao Qing Tong Shifei Li Yonghua Li Huakang Zhang Zhihui
Department of Cardiology, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China
关键词:
经胸超声心动图封堵器巨大型房间隔缺损
Keywords:
transthoracic echocardiography occluder atrial septal defect
分类号:
R540.46;R541.105
文献标志码:
A
摘要:
目的    通过对巨大型房间隔缺损(atrial septal defect ,ASD)封堵术后的随访观察,评价经导管封堵ASD的临床疗效与安全性。    方法    选择在我科成功进行经导管封堵治疗、ASD直径在30mm以上并完成1年以上随访的87例患者为研究对象,分别记录患者术前、术中及术后随访资料,分别术后3d、1、6个月及1年各查心电图及经胸超声心动图(TTE)1次,并对所有资料进行回顾性分析。    结果    87例ASD患者TTE测量ASD直径30~38(33.8±1.85)mm,置入封堵器直径36~42(39.2±1.38)mm。术中2例发生一过性Ⅰ度及Ⅱ度房室传导阻滞,1例发生一过性窦性心动过缓。在长达1年的随访期间,所有患者右心房、右心室内径均明显缩小(P<0.05),左心室舒张末期内径则逐渐增大,但仍在正常范围。随访1年时,2例患者遗留完全性右束支传导阻滞,无严重并发症发生。    结论    经导管封堵巨大ASD安全、有效,术后右心房及右心室可逐渐恢复正常,达到根治ASD之目的。
Abstract:
Objective    To evaluate the clinical effect and safety of transcatheter closure on adult large atrial septal defect (ASD) through the follow-up observation.     Methods    Eighty-seven patients having received the transcatheter closure for ASD (diameter >30 mm) in the our department, and been followed up for more than 1 year were enrolled as the subjects. The patients were examined by electrocardiography (ECG) and transthoracic echocardiography (TTE) before and 3 d, 1 month, 6 months and 1 year after the operation. The patients were also monitored by ECG and TTE during the operation.     Results    The patients had an average ASD diameter of  30-38 (33.8±1.85) mm before the transcatheter closure. The occluders that were implanted in the patients during the operation had an average diameter of 36-42 (39.2±1.38) mm. First- and second-degree atrioventricular block occurred in 2 cases, and transient sinus bradycardia occurred in 1 case during the operation. In the follow-up period, the inner diameters of right atrium and right ventricle decreased significantly and fell within the normal range in all cases (P<0.05); the end-diastolic inner diameters of left ventricle increased gradually, and yet were still within the normal range. One year after the transcatheter closure, only 2 cases had complete right bundle branch block without severe complicating diseases.     Conclusion    Transcatheter closure is an effective and safe means of curing large ASD.

相似文献/References:

[1]刘政,胡建林,刘汪,等.金属硅膜支气管封堵器置入犬支气管的封堵效果及安全性研究[J].陆军军医大学学报(原第三军医大学学报),2008,30(08):724.
 LIU Zheng,HU Jian-lin,LIU Wang,et al.Development of silicon covered metallic bronchial occlusive device and its efficacy and safety for bronchial closure in dogs[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(08):724.
[2]钟理,宋治远,冉擘力,等.先天性巨大冠状动脉右室瘘的介入治疗[J].陆军军医大学学报(原第三军医大学学报),2008,30(04):348.
 ZHONG Li,SONG Zhi-yuan,RAN Bo-li,et al.Transcatheter closure of giant congenital coronary artery fistula with patent duct occluder[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(08):348.
[3]宋治远,舒茂琴,胡厚源,等.经导管介入治疗先天性心脏复合畸形的疗效观察[J].陆军军医大学学报(原第三军医大学学报),2006,28(15):1624.
[4]王文婷,黄海韵,柳强维,等.经胸超声心动图结合右心声学造影在判断卵圆孔未闭右向左分流中的临床价值[J].陆军军医大学学报(原第三军医大学学报),2017,39(16):1648.
 WANG Wenting,HUANG Haiyun,LIU Qiangwei,et al.Clinical values of transthoracic echocardiography combined with right heart contrast echocardiography in the right-to-left shunt of patent foramen ovale[J].J Amry Med Univ (J Third Mil Med Univ),2017,39(08):1648.
[5]方骏,韦洋,陈旭东,等.超声引导下胸部微创房间隔缺损封堵术52例临床分析[J].陆军军医大学学报(原第三军医大学学报),2018,40(19):1788.
 FANG Jun,WEI Yang,CHEN Xudong,et al.Clinical analysis of ultrasound-guided minimally invasive transcatheter closure for atrial septal defect: report of 52 patients[J].J Amry Med Univ (J Third Mil Med Univ),2018,40(08):1788.

更新日期/Last Update: 2011-04-13